Individual provider Active NPI

Meredith Breisblatt

  • Physical Therapy Assistant
  • Miami, FL
National Provider Identifier
1003221250
Registry record updated Jun 26, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy AssistantTaxonomy code 225200000X
License
PTA23540 Issued in FL
Practice address
9425 SW 72ND St Ste 261
Miami, FL 33173-5457
Phone
(305) 271-7343
Fax
(305) 271-7949
NPI assigned
Jun 26, 2014
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 26, 2014

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Assistant 225200000X PTA23540 FL Primary

Addresses

Primary practice location

9425 SW 72ND St Ste 261
Miami, FL 33173-5457

Mailing address

5416 NW 50TH CT
Coconut Creek, FL 33073-3310
Phone (305) 271-7343

Other identifiers 1

IdentifierTypeStateIssuer
PTA23540OtherFLPHYSICAL THERAPY ASSISTANT LICENSE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
PTA23540FLMDPhysical Therapy Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Hearing and Speech Center of Florida PastSince Sep 1, 2012 Accepting new patients
Hearing and Speech Center of Florida Past Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1403740800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1403740800000",
    "number": "1003221250",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5416 NW 50TH CT",
            "city": "COCONUT CREEK",
            "state": "FL",
            "postal_code": "330733310",
            "telephone_number": "305-271-7343",
            "fax_number": "305-271-7949"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9425 SW 72ND ST STE 261",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331735457",
            "telephone_number": "305-271-7343",
            "fax_number": "305-271-7949"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BREISBLATT",
        "first_name": "MEREDITH",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-06-26",
        "last_updated": "2014-06-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "FL",
            "license": "PTA23540",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHYSICAL THERAPY ASSISTANT LICENSE",
            "identifier": "PTA23540",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.